破窗理论在手术室护理安全管理中的应用效果分析

Application of broken window theory in nursing safety management in operation room

目的探讨破窗理论在手术室护理安全管理中的应用效果。方法本院在手术室护理安全管理中引用"破窗理论",组织手术室护理人员学习,运用该理论分析手术室护理安全管理工作中存在的不安全现象及成因,并制定针对性的"补窗"措施。比较实施"破窗理论"前后手术室护理质量、护理不良事件、医护患满意度情况。结果将破窗理论应用于手术室护理管理后,基础护理质量、术前规范使用抗生素、感染控制管理、护理安全管理等评分显著高于实施前(P<0.05);实施后,护理不良事件发生率为0.71%,显著低于实施前的1.35%(P<0.05);实施后,手术医生、手术室护士、患者满意度显著高于实施前(P<0.05)。结论将破窗理论应用于手术室护理安全管理中,能提高护理服务质量,减少护理不安全事件,提高医护患满意度。

Objective To study the application effect of broken window theory in nursing safety management in operation room. Methods Broken window theory was applied in safety management of nursing in operation room, nursing staff were organized to study and use the broken window theory in order to analyze the unsafe phenomena and causes of nursing safety management in op- eration room, specific reinforcing window measures was developed by using broken window theory. Nursing quality, nursing adverse events, patients＇ satisfaction were compared before and after using broken window theory. Results The scores of basic nursing quality, preoperative standardized usage of antibiotics, infection control management and nursing safety management after implementation of the broken window theory were significantly higher than that before the implementation （P 〈 0.05 ）. After implementation of the broken window theory, the incidence of adverse events was significantly lower than that before the implementation （0.71% vs 1.35% , P 〈 0.05）. The scores of operation doctor, operation room nurses, patients＇satisfaction after implementation of the broken window theory were significantly higher than the implementation before （ P 〈 0.05 ）. Conclusion The application of broken window theory in the nursing safety management in the operation room can improve the qual- ity of nursing service, reduce the unsafe events, and improve the satisfaction of patients.